• Title/Summary/Keyword: 진료향상

Search Result 327, Processing Time 0.029 seconds

Relationship between Changes of Patient Safety & Medical Service Quality and Changes of Management Activity after Medical Institution Accreditation: Mental Hospitals and Geriatric Hospitals (의료기관 인증 후 환자안전 및 질 관리 변화와 경영활동 변화 간의 관계: 정신병원과 요양병원 대상)

  • Lee, Young-Hwan;Lim, Jung-Do
    • The Journal of the Korea Contents Association
    • /
    • v.15 no.1
    • /
    • pp.286-299
    • /
    • 2015
  • This study was to investigate the relationship between safety & quality management changes of patient and changes in management activities based on hospital workers in five mental hospitals and five geriatric hospitals which should be required medical certifying authorities. As a result of the research study, participation whether or not of certification service of mental hospital & geriatric hospital workers was positive correlation to improve change of 'Performance level of Safety Activities for the patient' 'Provide the High Quality Medical Service for the patient' 'Respect the Rights and Responsibility of the patient' 'Performance level of Infection Control Activities' out of contents of Patient Safety & Medical Service Quality. Also developmental changes of Safety Activities for the patient Hospital Quality for the patient Rights and Responsibility of the patient out of contents of Patient Safety & Medical Service Quality need to the Capacity Management Activities through Education and training, and Medical System & Evaluation of Management Provide the High Quality Medical Service for the patient out of contents of Patient Safety & Medical Service Quality need to the need to the Customer Orientation Process.

Relationship of between Task Performance, Job Satisfaction, and Organizational Contribution of Dental Hygienists (치과위생사의 수행업무, 직무만족, 조직기여도의 관계)

  • Kwon, Jun-Yeong;Lee, Su-Young
    • Journal of dental hygiene science
    • /
    • v.16 no.4
    • /
    • pp.302-309
    • /
    • 2016
  • This study aimed to evaluate the relationship between task performance, job satisfaction, and organizational contribution of dental hygienists, and to analyze the resulting impact on the organizational contribution of the dental hygienists. The study sample included 300 people working in a dental clinic during May 2016; data were collected through a self-questionnaire and an online questionnaire. Subsequently, 285 responses were analyzed. The results showed that a higher monthly income, business support services, and work satisfaction affect organizational contribution. The correlation of organizational contribution was the highest with business management in task performance and with work satisfaction in job satisfaction. In conclusion, a dental hygienist, who may have highest careers and is involved in the management of dental work, affects the organizational contribution of the dental clinic.

An Analysis on the Demand of Rural Settlement Support Services for Rural Residents (경북 울진군 기성면 척산리 중심의 농촌정주지원 서비스 요구사항 분석)

  • Choi, Yoon-Ji;Hwang, Jeong-Im;Kim, Young;Park, Gwang-Rae
    • Proceedings of the Korean Society of Community Living Science Conference
    • /
    • 2009.09a
    • /
    • pp.106-106
    • /
    • 2009
  • 영국에서는 농촌문제의 심각성과 범정부적 대책 마련에 대한 부처간 인식 공유가 증가함에 따라 2000년 "농촌백서"에 '농촌서비스 표준화(Rural Services Standard, RSS)'를 제정하였다. RSS는 농촌 주민의 삶의 질 제고와 복지 서비스 향상을 위해 달성할 주요 서비스의 National Minimum을 의미한다. 매년 RSS 운용에 대한 지속적인 모니터링을 통하여 내용을 매년 업데이트 하고 있다. 교육 및 아동서비스, 광대역 통신, 사회적 돌봄, 우체국 서비스, 보건, 인터넷 접속, 긴급 서비스, 교통의 8개분야 13개 서비스 기준을 설정 제시하고 있다. 우리의 경우도 농촌 주민의 삶의 질 향상을 위한 범정부적 투자가 이루어져 왔지만 농촌지역의 사회서비스 기준을 도시와 비교해 보면 아직도 부족한 부분이 많이 있다. 농촌 인구가 감소되고 있는 상황에서 지속적인 하드웨어 중심적 투자에 대한 의문제기와 함께 농촌 주민들이 최소한의 공적 서비스를 활용할 수 있는 기반이 되어야한다는 의견이 대립되고 있는 가운데 그 해결책을 찾기 위하여 '농촌 서비스 기준'을 설정하자는 논의가 추진되고 있다. 이에 본 연구에서는 인구 5만 이상 군지역에 속하는 경상북도 울진군 기성면 척산리를 중심으로 농촌 정주지원 서비스 요구사항을 분석하였다. 척산리에는 총가구 187호 363명이 거주하고 있으며 지난 3년간 인구 이동이 전혀 없었다. 주민들의 연령대는 50~60대가 가장 많으며 척산 3리가 가장 고령화 되어 있는 것으로 나타났다. 교통 환경은 좋은 편이었는데 기성공용버스 정류장에 10곳 이상의 차편이 있고 7번 국도가 있어 타 지역으로 이동도 용이하였다. 마을에 보건/의료를 담당하는 곳은 보건진료소뿐이었으며 잦은 외근과 구급약 부족 등으로 불편을 호소하고 있었다. 응급상황 발생시 수송 가능한 응급체계는 갖춰져 있지 않았고 노인들이 가장 많이 이용하는 물리 치료실은 일주일에 3번 개방하기에 불편하다고 하였다. 3층 건물의 복지회관이 있으나 장날(5일장; 1일, 5일)만 개방되어 이용에 한계가 있었고 마을주민을 위해 운영되는 프로그램은 없었다. 논농사 중심의 경제생활이었고, 부녀회와 청년회 등은 면단위 또는 행정리로 묶어서 운영하고 있었다. 주민들은 울진군 면소재지 중 척산리에만 약국이 없어 불편한 사항이 많기에 약국, 물리치료실의 상시 개방을 필요로 하였으며 장날을 이용한 노인대상 영화상영, 강연회 등 다양한 문화프로그램 운영을 희망하였다.

  • PDF

Relationships between subjective teeth awareness and satisfaction on self-esteem (주관적인 치아에 대한 인식 및 만족도와 자아존중감과의 관련성)

  • Jung, Eun-Seo;Lee, Kyeong-Hee
    • Journal of Digital Convergence
    • /
    • v.14 no.2
    • /
    • pp.315-324
    • /
    • 2016
  • The purpose of the study are expected to provide some basic information on counseling, diagnosis and treatment planning for patients related to teeth care. A self-reported questionnaire was filled out by 320 subjects in Seoul and Gyeonggi from May to August, 2015 after permission from Institutional Review Board (IRB). Except 18 copies, 302 data were analyzed using SPSS WIN 19.0 program. The questionnaire consisted of four questions of the general characteristics of the subjects, ten questions of the awareness toward of subjective teeth, five questions of the influence of teeth on appearance, and ten questions of self-esteem. The dependent variables made a 23.4% prediction of self-esteem. If they have higher education(p<0.001), influence of teeth on appearance(p<0.001) and the awareness toward of subjective teeth(p<0.001) had significant influence on self-esteem. The findings suggest that heightened subjective awareness toward teeth seems to be of use for the improvement of self-esteem. Therefore it's required to make an effort to take good care of teeth in terms of color or arrangement as well as oral health.

Secure biometric information delivery scheme of implantable device using code-division multiplexing method (코드 분할 다중화 방식을 이용한 체내삽입장치의 안전한 생체 정보 전달 기법)

  • Jeong, Yoon-Su
    • Journal of Digital Convergence
    • /
    • v.14 no.3
    • /
    • pp.235-241
    • /
    • 2016
  • Among recent issues emerging in the areas related to the society, health has received the most attention. In this paper, for a patient unable to do self-care because of worsened diseases, a biological information transfer method is proposed by which the disease information can be securely managed, by attaching an implantable device into the body. Our method object of the invention is to prevent a third party from illegally intercepting and interfering with the biological information attached to the insertion device in the body. In the proposed technique to improve the safety of the patient between the hospital and physician by assigning each code to the biometric information of the patient in order to prevent a third party tapping and interfering. In addition, our method is assigned a code necessary for encoding in advance to confirm the biological information between the patient and the hospital (doctor) in a manner dividing the bio-information code. In particular, the proposed technique makes a third party unable to illegally tap or interfere in, by previously generating a code used for encoding so that it can be stored in the database of the hospital, which not only decreased hospital care time to 6.9%, but also increased work efficiency rate up to 12.7%.

Trend in Preference for Dental Hygienist Image among Health Care Workers (일부 병원 종사자들의 치과위생사에 대한 이미지 선호 경향)

  • Yoon, Hyun-Seo;Kim, Jung-Sool;Lee, Mi-Ok;Kim, Hyun-Dae
    • Journal of dental hygiene science
    • /
    • v.10 no.4
    • /
    • pp.211-218
    • /
    • 2010
  • The purpose of this study was to examine preference for dental hygienists. The subjects in this study were 228 employees in general hospitals located in the region of Busan, on whom a survey was conducted in May and June, 2009. The findings of the study were as follows: As for top priority of dental hygienists' duties, providing assistance for dentist treatment ranked first(28.2%), followed by scaling(23.2%) and preventive duties(20.6%). Concerning a favorable image of a dental hygienist, a cheerful look was most preferred(61.4%), followed by a clean-cut look (32.9%), a refined look (3.5%) and an intellectual look (2.2%). Among the subjects, married respondents exhibited a greater liking for a cheerful look, and the gap between them and the unmarried subjects was statistically significant($x^2=8.11$, p<.05). In terms of uniform preference, a two-piece suit with pants was most favored(76.3%). Female respondents showed a greater preference for a two-piece suit with pants, and the gap between them and the male respondents was statistically significant($x^2=41.09$, p<.001). As for major qualifications, professional knowledge was most valued (49.1%), followed by integrity/responsibility(23.2%), friendliness(22.4%), and a great personality/being well-cultivated(5.3%). Employees who were in their 40s and up placed more importance on integrity and responsibility, and the gap between them and the others was statistically significant($x^2=20.62$, p<.01).

Relationship among Patient Outcomes in Cataract Surgical Patient - Pilot study - (백내장 수술환자 진료결과들간의 관계 - 사전 연구를 중심으로 -)

  • Park, Eun-Cheol;Kim, Han Joong;Hong, Young-Jae;Cho, Woo Hyun;Sohn, Myongsei;Lim, Seung Jeong;Kang, Hyung-Gon;Choi, Yoon Jung
    • Quality Improvement in Health Care
    • /
    • v.5 no.1
    • /
    • pp.106-118
    • /
    • 1998
  • Background : This study was done to assess the relationship among multiple patient outcomes of cataract surgery perioperatively, 3-4 months and 12 months after surgery. The patient outcomes include changes in visual acuity(operated eye, better eye), visual function(VF-14), patient satisfaction, subjective satisfaction with vision, and subjective overall health status. Methods : For the assessment of relationship, prospective study was performed with 92 patients who had undergone either one or both eye cataract surgery by 3 ophthalmologists practicing at a university hospital. Patients were interviewed. and clinical data were obtained. Doctors were questioned with self-entered questionnaire forms. Medical record was examined to understand surgery process. The survey was conducted at 4 stages : preoperatively, perioperatively, postoperative 3-4 months, and postoperative 12 months. Results : The correlations within patient outcomes at 4 stages - the visual acuity of operated eye and that of better eye, patient satisfaction and VF-14, subjective overall health status and relative health status as against others - were found to be positively correlated. The change in the visual acuity of operated eye and better eye was correlated with VF-14 as well as with patient satisfaction. The change was also correlated with overall health status. However, the correlations between variables were decreased as the postoperative period got longer. Conclusion : As for the postoperative clinical patient outcomes, VF-14 is acted to linker between visual acuity - clinical outcomes and overall health status - endpoint outcomes. Therefore. VF-14 is the index of patient-sided and disease-specific outcome for cataract surgery.

  • PDF

Change in Quality of Tuberculosis (TB) Care since National Quality Assessment Program of TB Healthcare Service (결핵 적정성 평가에 따른 국내 결핵 진료서비스 질 관리 현황)

  • Jang, Seong-Ja;Hwang, Mi-Jin;Lee, Chung-Hun;Lee, Hyeon-Ju;Shim, Tae-Sun;Kim, Dong-Sook
    • Quality Improvement in Health Care
    • /
    • v.27 no.2
    • /
    • pp.73-82
    • /
    • 2021
  • Purpose: This study aims to examine the quality of tuberculosis (TB) care after the 1st to 3rd national quality assessment (QA) program for TB healthcare service in Korea was conducted. Methods: We analyzed Health Insurance Review & Assessment Service (HIRA) claims data of new TB patients during the period of January to June from 2018-2020. The new TB patients were defined as TB patients reported to Korea Centers for Disease Control and Prevention Agency (KCDA). The unit of analysis was the patient. Chi-square tests were used to analyze the differences in indicator value according to the types of medical facilities. The QA indicators of TB care were divided into 3 areas consisting of the following 7 quality indicators: 4 indicators of diagnosis test (the rate of acid-fast bacilli smear, the rate of acid-fast bacilli culture, the rate of Mycobacterium tuberculosis-polymerase chain reaction, drug susceptibility test), 1 compliance of treatment guideline, and 2 indicators of care management of TB patients (encounter rate, day of therapy). Results: The QA program for TB care was conducted among 8,246 patients from 534 facilities in 2020. The value of the 7 quality indicators was shown to increase as a result of the QA program. The indicators of the diagnostic test were all higher than 95%, with the exception of the drug susceptibility test which was 84.8%. Both indicators for care management of TB patients were 88.5%. Conclusion: The quality of TB care has been improving with the implementation of the QA program. In order to continue to improve the quality of TB care, it will be necessary to disclose the results of the QA program in medical facilities in the future.

A Suggestions of Future Direction of the Integrated Community Care Business for Improvement of the Elderly's Life Care (노인의 라이프케어 향상을 위한 지역사회 통합돌봄사업 미래 방향에 대한 제시)

  • Yang, Seung-Hoon
    • Journal of Korea Entertainment Industry Association
    • /
    • v.15 no.8
    • /
    • pp.423-432
    • /
    • 2021
  • In this study, we investigated and the following conclusions are presented by identifying the current status and problems in order to expand the future's value of the community care project introduced and implemented to improve the quality and care for the elderly's life. First, the needs analysis of the elderly receiving services is composed of patient-centered rather than investigator-centered, and in particular, medical management through medical staff visits should be strengthened, and specialized service items according to gender, age, disability type, and personal preference should be strengthened. This will have to be gradually strengthened. Second, by analyzing the satisfaction, redundancy, and effectiveness of service items, we save money, and consider the consumer-oriented service item composition and application of items necessary for new services. Third, through the introduction of an integrated schedule management system, it is necessary to specialize in pre-booking and visit schedule management between the elderly and the direct service organizations that provide services. Fourth, as an effort to solve the financial problem, it is necessary to prepare a rational resource sharing system with health and medical finance, long-term care insurance system, and social welfare financial project. and it may consider that putting the medical personnel who are from local public medical college input. Through these proposals, the community care business will be able to complete and have future value as a universal aged care system.

Blood Collection Workload and Safety of Medical Technologists at Korean Hospitals (한국 의료기관에서 임상병리사의 채혈 업무 현황과 안전 실태 조사)

  • Sung-Bae PARK;Suk JEKAL;Weon Joo HWANG;Do Wang LEE;Choong Won SEO;Sunghyun KIM
    • Korean Journal of Clinical Laboratory Science
    • /
    • v.55 no.3
    • /
    • pp.159-166
    • /
    • 2023
  • This study investigates the current situation of medical technologists for blood collection, which is considered the most important step for diagnosis. The survey enrolled 650 medical technologists working in hospitals and medical check centers in Busan, Ulsan, and Gyeongnam. We found that each medical technologist performed blood collection for about 100 patients. There was more than one blood collection failure per day, with more than one case of pain and filing of civil complaints per year. Hence, there was a high work burden on the medical technologists. Cases where a medical technologist was stabbed with a used needle occurred more than once a year, and about 15% of them received infection control and treatment because of stab wounds. Additionally, more than half of the participants suffered from musculoskeletal disorders and mental stress due to blood collection work. Unlike administering intravenous and intramuscular injections using the same needle, no fee is charged for blood collection. Based on the results of this study, it will be possible to improve the safety and rights of medical technologists by calculating the actual fee for blood collection work and assigning a relative value score.